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Operational AI for health systems

The personal thought partner every healthcare executive needs.

Consulting-grade analysis of your market, quality, finances and community benefit — resident in your own infrastructure, available every day of the year. Every figure sourced. Every figure dated. And when the data cannot answer, it says so.

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6 of 10
executive questions answered that no category competitor can
46
verified determinations in the ledger, each dated and sourced
Zero
protected health information required to deploy
1/20
the cost of the strategy engagement it displaces
The problem

Being confidently wrong is more expensive than being slow.

Public healthcare data is effectively free, and every tool built on it will answer any question you ask — whether or not the underlying file supports an answer. The failure mode is not a missing number. It is a plausible one, produced with no indication that it should not be trusted.

Chief financial officer
Carries a 1.00× rate comparison into a board meeting, unaware that in a rate-regulated state every hospital prices identically.
Chief strategy officer
Understates market share because the federal file changed what it counts and the vendor did not notice.
Revenue cycle leader
Benchmarks days in A/R against a peer group the federal file defines differently than they assume, and reports a collection gap that is not there.
The platform

Ask a question. Receive an answer you can defend.

Percentile rank against like peers, in-state and national. Six-year trendlines against the top-quartile target. The formula behind every metric on hover, with its source file named. And a first move, assigned to the executive who owns it.

MinervaAI financial resilience view

What we know is not true

Every engagement adds dated, sourced determinations about where the public record misleads. They are the reason the answers hold, and they compound. A sample from the ledger:

DET-014 · MARYLAND · VERIFIED AUG 2026
The state's price files are analytically empty.

Prevents — a rate comparison presented to a board as competitive intelligence when it is an artifact of rate setting.

DET-021 · NATIONAL · VERIFIED AUG 2026
The market-share file quietly began including Medicare Advantage.

Prevents — understating share on the fastest-growing half of Medicare, where the free federal file now has broader coverage than several paid products.

DET-033 · COMPLIANCE · VERIFIED AUG 2026
The implementation-strategy deadline still in circulation was superseded in 2014.

Prevents — counsel citing a withdrawn requirement in correspondence with a state attorney general.

DET-007 · COMMUNITY BENEFIT · VERIFIED AUG 2026
The community-needs index widely assumed not to exist is a federal filing field.

Prevents — commissioning a hand-built corpus that can be assembled from an index already in the public record.

Where the answers live

Between the files, not inside them.

Most tools answer the questions with one obvious source. The questions that decide capital allocation require two sources joined on a spine nobody maintains. Maintaining it is the work.

Two questions we do not answer: physician-level referral flow and all-payer volume. Both require licensed claims. You will hear that in the first meeting rather than the fourth.

How the platform works
"What did readmission, safety and value-based penalties cost us in dollars this year — and which measure drove it?"
"Does our community benefit spend match the priorities our own needs assessment named?"
"Why does our charity care differ between what we told CMS and what we told the IRS?"
"Which counties lost obstetric services, and what is our exposure?"
"Show me all of that beside our own cost accounting and signed payer contracts."

Insights

All insights
Working paper · August 2026
Operational AI in Healthcare: negative knowledge as the binding constraint on decision support

Why assembly of the public record is no longer a differentiator, and why the determinations layer — what the data cannot support — is what separates usable analysis from plausible error.

Brief · July 2026
Dollarizing quality penalties: the join nobody makes

Penalty scores and payment adjustment factors live in different files. Multiplying them is the difference between a rating and a budget line.

Brief · June 2026
The archive problem: why nobody can tell you how your rates moved

Price files are overwritten monthly and most vendors keep one snapshot. History is the asset that can only be started.

Bring a question to the briefing.

Sixty minutes. Bring the question you could not get a straight answer to last quarter, and we will work it live — with the sources, the dates, and a clear statement of what we will not claim.

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